Individual
DAWN GAYADEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHCP
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-7579
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
P105639
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P105639
MHCP
NY
Enumeration date
07/28/2020
Last updated
07/28/2020
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